NPI | 1477748010 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA PERKINS President 903-596-8100 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
Enumeration Date | 2007-09-06 |
Last Update Date | 2025-04-28 |